Well, it has been one of those days. Had two cardiac arrests today, practically right in a row. Both patients were men and both of them died.
The first man was in his 90’s. He told his wife he didn’t feel good and went to lie down. She checked on him 30 minutes later and he wouldn’t wakeup. She couldn’t tell if he was breathing either. Instead of calling 911, she called a Hospice nurse. It wasn’t until that nurse told her it would be another 30 minutes before she could get there did the woman call 911.
We did CPR but he had been down way too long by that point. The paramedics pronounced him dead when they arrived. I felt sorry for the woman – she was so confused on what she should do in a situation like that. I had to pry the information out of her because she wasn’t sure she should be calling 911 when she didn’t know if he was just asleep or if he was breathing.
My second call was from a hysterical woman whose husband had been on the phone talking to his mom. The wife was washing the dishes and heard the phone drop on the floor. Her husband was slumped over in the chair making gurgling noises. He wasn’t breathing really even though she thought he was because of the noises he was making. I could tell it wasn’t normal breathing from the sounds of it.
However, she got him to the floor and I talked her through CPR. I could hear his bones cracking as she did chest compressions, she was pressing down that much. They weren’t breaking – just making cracking noises. She couldn’t get a good seal on his mouth to give him the breaths so we kept up the compressions.
The paramedics worked on him for twenty minutes before transporting him to the hospital. When they called in later they said the man died. This guy was only 49 years old and had never presented with any other medical problems in his life. By all accounts, the wife thought he was as healthy as an ox.
One of my coworkers is their neighbor so she called her husband to go over to stay with the woman or take her to the hospital, whichever she decided to do. I felt sorry for the woman – she zealously tried to save him but there wasn’t anything anyone could do. The paramedics think he had a massive heart attack.
So those were my two most upsetting calls today.